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HomeMy WebLinkAbout225642 10/24/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA INIECK AMOUNT: $4,203.71 CARMEL, INDIANA 46032 PO BOX 9001099 LOUISVILLE KY 40290-1099 CHECK NUMBER: 225642 CHECK DATE: 10124/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350101 1761178 192 . 31 TRASH COLLECTION 601 5023990 1761999 160 .21 OTHER EXPENSES 1125 4350101 1766272 150 . 00 TRASH COLLECTION 651 5023990 1766275 433 . 17 OTHER EXPENSES 1207 4350101 20020 1768948 608 . 00 TRASH SERVICE 651 5023990 1769334 515 . 92 OTHER EXPENSES 651 5023990 1770978 2 , 144 . 10 OTHER EXPENSES REPUBLIC CARMEL UTILITIES Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 09/21 Payment-Thank You 224109 -$166.00 Account Number 3-0761-0062694 ! Current Invoice Charges Invoice Date September 25,2013 '`, Water Plant 1 4915 E 106th St (1-1) CSA 5387 Invoice Number 0761-001761999 " Carmel,IN Previous Balance $166.00 Payments/Adjustments -$166.00 1 -Front Load(6 Yd) Scheduled Service (Si) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $160.21 09/25 Basic Service 09/02/13-09/30/13 1.0000 $69.00 -$65.79 1 -Front Load(8 Yd) Scheduled Service (S3) Date Description Reference Quantity Unit Price Amount • 09/25 Basic Service 09/01/13-09/30/13 1.0000 $113.00 $113.00 09125 Basic Service 10/01/13-10/31/13 $113.00 $113.00 Current Invoice Charges $16x.2 i Due By: 10115113 • • • Customer Service (317)917-7300 Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. CUf�RI:IV t s2,.. .:...: •.,.a,:H 3�€7A1+� : .. SAYS ,''" 'f' 160.21 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: A A • Visit our website,www.disposal.com to make your payment electronically VVW.W.dlSpOS81.COm or to sign up for our convenient automatic payment plan. Pease see rave se side for terms and-conditions- — -- CARMEL UTILITIES 3-0761-0062694 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electron icpayments.orq and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. i VOUCHER # 133024 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC SERVICES #761 PO BOX 9001099 LOUISVILLE, KY 40290-1099 ,I I Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR 1 Board members 1 PO# INV# ACCT# AMOUNT 1 Audit Trail Code i 1761999 01-6360-03 $160.21 I i I I 1 Voucher Total $160.21 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 358593 REPUBLIC SERVICES#761 Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 10/14/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/14/201, 1761999 $160.21 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with It 5-11-10-1.6 Date Officer ART REPUBLIC CARMEL UTILITIES HHW Invoice SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments acffG Date Description Reference Amount 09/09 Payment-Thank You 223629 $2,450.40 09/21 Payment-Thank You 224109 -$2,450.40 Account Number 3-0761-1163292 Current Invoice Charges Invoice Date September 30,2013 g Invoice Number 0761-001770978 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 32921 21 01 0 Previous Balance $4,900.80 Carmel,IN Payments/Adjustments -$4,900.80 Unpaid Balance $0.00 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Current Invoice Charges $2,144.10 Date Description Reference Quantity Unit Price Amount 09/03 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 09/05 Basic Service 1.0000 $153.15 $153.15 • o Receipt Number 48391 09/10 Basic Service 1.0000 $15.3.15 $153.15 $2,144.10 Receipt Number 48391 09/12 Basic Service 1.0000 $153.15 $153.15 Due By: 10/20/13 Receipt Number 48391 09/17 Basic Service 1.0000 $153.15 $153.15 0 0 o Receipt Number 48391 09/19 Basic Service 1.0000 $153.15 $153.15 Customer Service (317)917-7300 Receipt Number 48391 09/24 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 09/26 Basic Service 1.0000 $153.15 $153.15 olc0 0 0[ Receipt Number 48391 Effective 4/16/2012:SERVICE INTERRUPTION 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled POLICY CHANGE All accounts with a balance over Date Description Reference Quantity Unit Price Amount 60 days will experience a service interruption unless 09/03 Basic Service 1.0000 $153.15 $153.15 prior arrangements are made. Receipt Number 48393 09/10 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 09/12 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 09/17 Basic Service 1.0000 $153.15 $153.15 CtlRRENT � 30frDAYSr..= � ,. 60'DA,Y;S „--s90+=DAYS --yam. N 2,144.10 0.00 I 0.00 I 0.00 To pay on-line or sign up for convenient auto pay, go to: D A Visit our website,www.disposal.com to make your payment electronically www.disposal.com_ _ or to sign up for our convenient automatic payment plan` "Piease see-reverse side for terms-arfd conditions CARMEL UTILITIES HHW 3-0761-1163292 Page of 3 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. 001016-000002-000002-002032 2321835 2240ST03 1 3 0 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R Account Number 3-0761-1163292 � �REPUBL►C Invoice Date September 30, 2013 832 Langsdale Ave 11i2� SERVICES Invoice Number 0761-001770978 Indianapolis, IN 462D2-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount Receipt Number 48393 09/19 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 09/24 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Current Invoice Charges $2,144.10 _ VOUCHER # 136559 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 07610017709 01-736H-08 $2,144.10 I Voucher Total $2,144.10 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 358593 REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 10/14/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/14/201: 0761001770 $2,144.10 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer q 7;REPUBLIC CARMEL UTILITIES Invoice ty� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 09/21 Payment-Thank You 224109 -$433.17 e Account Number 3-0761-1410955 Current Invoice Charges Invoice Date September 25,2013 Carmel Utilities 9609 Hazel Dell Parkway (L1) Invoice Number 0761-001766275 Carmel,IN Previous Balance $433.17 Payments/Adjustments -$433.17 14-Front Load(2 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $433.17 09/25 Basic Service 10/01/13-10/31/13 $433.17 $433.17 Current Invoice Charges j, '�3� C f $433.17 Due By: 10/15/13 • arn • • Customer Service (317)917-7300 0o e • Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. ... ....,Ct11wt,EN"W !, 30,0AYS��,�,.<�...: «� .. 6tT�pR1?S�� ����.:' 90 4Y<5,`�` 433.17 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: A A • Visit our website,www.disposal.com to make your payment electronically www.disposal.com or to sign up for our convenient automatic payment plan. Please see reverse side for terms and conditions CARMEL UTILITIES 3-0761-1410955 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electron icpayments.orq and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. e"AREPUBLIC CARMEL UTILITIES WWTP Invoice 4- SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 08/05 Payment-Thank You 222560 -$118.12 Aff e p Bill Account Number 3-0761-0058847 Current Invoice Charges Invoice Date September 30,2013 Carmel Utilities Wwtp 9609 Hazel Dell Pkwy (1-1) CSA 002915 Invoice Number 0761-001769334 ; Indianapolis,IN Previous Balance $118.12 Payments/Adjustments -$118.12 1 -Rolloff(40 Yd) On Call Service (S1) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $515.92 09/13 Fuel-Environmental Fee Jeff 1.0000 $74.04 $74.04 Receipt Number 10138 09/13 Basic Service Jeff 1.0000 $441.88 $441.88 Receipt Number 10138 • Current Invoice Charges $515.92 $515.92 ---- - - - _ _OI_� - Due By: 10120113 Customer Service (317)917-7300 00 o s Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. A1'S 110...,., 515.92 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: D A • Visit our website,www.disposal.com to make your payment electronically www.disposal.com or to sign up for our convenient automatic payment plan. •- Please see reverse side for terms and-conditions CARMEL UTILITIES WWTP 3-0761-0058847 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electron icpayments.orq and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. VOUCHER # 136603 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR 1 Board members PO# INV# ACCT# AMOUNT Audit Trail Code 0761-001769: 01-7362-05 $515.92 0 Ito I b o 1-16ba�5 y33,. n 9�9J0c Voucher Total - Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 358593 REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 10/15/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/15/201: 0761-001769 $515.92 I hereby certify that the attached invoice(s), or bill(s) is(are) true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer 4 "AREPUBL/C CARMEL CLAY PARK'S Invoice t3r2� SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 09/21 Payment-Thank You 224109 -$150.00 • Account Number 3-0761-1410948 Current Invoice Charges Invoice Date September 25,2013 Carmel Clay Park's 1411 E 116th St (1-1) CSA 94811711 Invoice Number 0761-001766272 Carmel,IN Previous Balance $150.00 Payments/Adjustments -$150.00 2-Front Load(8 Yd) Scheduled Service (Si) Unpaid Balance $0.00 Current Invoice Charges $150.00 tit Date Description Reference Quantity Unit Price Amount 09/25 Basic Service 10/01/13-10/31/13 $150 $150.00 Current Invoice Charges $150.00 tl5®.®Q Due By: 10115/13 n' 1 p A 0 11 - all Customer Service (317)917-7300 a�-y-Da -0 36�-00 OCT 0 3 2013 • . • B�. Effective 4116/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. "C(3RRrMN pAYS.:i OAY 150.00 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: AA • Visit our website,www.disposal.com to make your payment electronically Vvww.disnosat.com or to sign up for our convenient automatic payment plan. CARMEL CLAY PARK'S 3-0761-1410948 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. REPUBLIC CARMEL CLAY PARKS Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 09/21 Payment-Thank You 224109 -$750.93 ' e 09/25 Inv#001692387 Dated 07/25/13 -$86.12 Account Number 3-0761-0036974 For Site 00001 Service Group 02 Re: Basic Service Invoice Date September 25,2013 Invoice Number 0761-001761178 Current Invoice Charges Previous Balance $837.05 Payments/Adjustments -$837.05 Morton Center 1235 Central Park Dr E (L1) CSA 6974053112 Unpaid Balance $0.00 Carmel,IN Current Invoice Charges $192.31 1 -Front Load(4 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 09/05 Container Exchange Bric 1.0000 $50.00 $50.00 e Receipt Number 2535 09/25 Basic Service 10/01/13-10/31/13 $84.13 $84.13 $1 92.31 1 -Front Load(10 Yd) Scheduled Service (S2) Due By: 10115113 Date Description Reference Quantity Unit Price Amount 09/25 Rate Adjustment 09/01/13-09/30/13 1.0000 $265.00 -$304.31 • s e 09/25 Basic Service 10/01/13-10/31/13 $265.00 $265.00 Customer Service (317)917-7300 ` 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only Date Description Reference Quantity Unit Price Amount 09/25 Recycling Service 10/01/13-10/31/13 $41.82 $41.82 • e I Imp, • • 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled Effective 4/1612012:SERVICE INTERRUPTION Date Description Reference Quantity Unit Price Amount POLICY CHANGE All accounts with a balance over 09/25 Recycling Service 10/01/13-10/31/13 $55.67 $55.67 60 days will experience a service interruption unless � T57� � prior arrangements are made. Current Invoice Charges 6 $192.31 TkA Pu�u� mcMCC- Octl� OCT S4 1011 -4 65aci E ahMADA, IN 500A" IS DAY,60,11k...., 1 192.31 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: A A • Visit our website,www.disposal.com to make your payment electronically www.disposal.com or to sign up for our convenient automatic payment plan. o Please see reverse side for terms and conditions CARMEL CLAY PARKS 3-0761-0036974 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 358593 Republic Services # 761 Terms P.O. Box 9001099 Louisville, KY 40290-1099 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/25/13 761001766272 Dumpster A.O. Oct'13 $ 150.00 9/25/13 761001761178 Trash pickup MCC Oct'13 $ 192.31 Total $ 342.31 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20_ Clerk-Treasurer Voucher No. Warrant No. 358593 Republic Services #761 Allowed 20 P.O. Box 9001099 Louisville, KY 40290-1099 In Sum of$ $ 342.31 ON ACCOUNT OF APPROPRIATION FOR 101 -General / 109 MCC Po#or Board Members INVOICE NO. ACCT#/TITL AMOUNT Dept# 1125 761001766272 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or 1091 761001761178 4350101 $ 192.31 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 17-Oct 2013 Signature $ 342.31 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice tf►� SERVICES Page i of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1) CSA 002765 Carmel,IN 0 1 -Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-0035460 Invoice Date September 30,2013 " Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001768948 09/30 Basic Service 10/01/13-10/31/13 $132.00 $132.00 Previous Balance $548.00 Brookshire Golf Course Pt 12120 Brookshire Pkwy (L2) Payments/Adjustments $0.00 Carmel,IN Unpaid Balance $548.00 Current Invoice Charges $608.00 2-Portable Unit Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 09/02 Basic Service 2.0000 $30.00 $60.00 09/09 Basic Service 2.0000 $30.00 $60.00 ® 09/16 Basic Service 2.0000 $30.00 $60.00 09/23 Basic Service 2.0000 $30.00 $60.00 :�uelB"y:6.x©-- _ _ ___ _09/3Q_Portable_Service 09/01/13-09/30/13 $176.00 $176.0009/30 Basic Service 2.0000 $30.00 $60.00 10/20/13 Current Invoice Charges $608.00 • o Customer Service (317)917-7300 • a o 0 Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. G,1IRREN 608.00 548.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $548.00 convenient auto pay, go to: D A Visit our website,www.disposal.com to make your payment electronically www.disposal.com or to sign up for our convenient automatic payment plan. Please see reverse side for-terms and conditions – — CITY OF CARMEL BROOKSHIRE GOLF 3-0761-0035460 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer`,funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive.your check back from your financial institution. For further information visit: www.electronicpayments.org and click on the Check Conversion tab. if service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end'of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period `between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise Prohibited bylaw. ,,.the Company reserves the right to require that payment for services be made only by check, credit card or ,money order, unless'otherwise required by contract or applicable law. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services#761 IN SUM OF $ P. O. Box 9001099 Louisville, KY 40290-1099 $608.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20020 1 0761-0017689481 43-501.01 1 $608.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, October 15, 2013 Director, Brooks i Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/30/13 1 0761-001768948 I Trash Removal I $608.00 1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer